§ 33-29-18. Franchise Insurance
As used in this Code section, the term “employees” means the officers, managers, and employees and retired employees of the employer and the individual proprietor or partners if the employer is an individual proprietor or partnership. Accident and sickness insurance on a franchise plan is that form of accident and sickness insurance issued to: Two […]
§ 33-29-19. Rate Modification on Individual Accident and Sickness Policies Providing for Optional Loss Ratio Guarantee
This Code section shall apply only to the filing of rate modifications for individual accident and sickness policies which provide for an optional loss ratio guarantee. As used in this Code section, the term: “Expected loss ratio” in an experience period means the ratio of: (A) the sum of expected claims in the experience period […]
§ 33-29-20. Insurance Coverage for Treatment of Temporomandibular Joint Dysfunction or Surgery for Deformities of Maxilla or Mandible
As used in this Code section, the term: “Functional deformity” means a deformity of the bone or joint structure of the maxilla or mandible such that the normal character and essential function of such bone structure is impeded. “Policy” means any major medical benefit plan, contract, or policy except a credit insurance policy, disability income […]
§ 33-29-21. Renewal or Continuation at Option of Insured
Pursuant to the provisions of the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, and subject to applicable rules and regulations as issued by the Centers for Medicare and Medicaid Services, all insurers which issue, issue for delivery, deliver, or renew existing individual policies, certificates, or contracts of accident and sickness insurance […]
§ 33-29-6. Provision in Policies for Medical or Surgical Services
The benefits on account of medical or surgical services provided by an individual policy of accident and sickness insurance may be limited by its terms to services performed by specifically defined professions, provided that in the absence of such definitions the term “physician” or “surgeon,” as used in such policy, shall not be deemed limited […]
§ 33-29-7. Provision in Policies for Refusal of Renewal Generally
Subject to Code Section 33-29-21, each policy, covered by this chapter, except accident insurance only policies, in which the insurer reserves the right to refuse renewal on an individual basis, shall provide, in substance, in a provision of the policy entitled “renewability,” that, subject to the right to terminate the policy upon nonpayment of premiums […]
§ 33-29-8. Provision in Policies Renewable or Cancelable at Option of Insurer for Refund of Premiums
Except as provided in subsection (b) of this Code section, every insurer delivering or issuing for delivery in this state policies of accident and sickness insurance which are renewable at the option of the insurer or cancelable at the option of the insurer shall provide in said policies a provision as follows: “If the company […]
§ 33-29-9. Requirements as to References in Policies to Noncancelable Nature or Guaranteed Renewability Nature; Exception for Certain Matters Concerning Renewability of Individual Accident and Sickness Policies; Rules and Regulations
No policy of accident or sickness insurance shall refer to its noncancelable nature without at the same time disclosing all options the insurer may have in regard to renewability; and the guaranteed renewable nature of any such policy shall not be referred to unless the reference at the same time discloses the qualifications on the […]
§ 33-29-1. “Accident and Sickness Policy” Defined; Applicability of Chapter
As used in this chapter, the term “accident and sickness policy” means any policy insuring against loss resulting from sickness or from bodily injury or death by accident, or both, or any contract to furnish ambulance service in the future. Nothing in this chapter shall apply to or affect: Any policy of workers’ compensation insurance […]
§ 33-29-2. Requirements as to Policies Generally
No policy of accident and sickness insurance shall be delivered or issued for delivery in this state unless it meets the following requirements: The entire money and other considerations for the policy are expressed in such policy; The time at which the insurance takes effect and terminates is expressed in such policy; It purports to […]